Organization
CORPORATE OCCUPATIONAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ILKA MD (OWNER, MD)
(616) 285-2728
Entity
Organization
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE STE 144, GRAND RAPIDS, MI 49546-5939
(616) 340-0936
Mailing address
3501 LAKE EASTBROOK BLVD SE STE 144, GRAND RAPIDS, MI 49546-5939
(616) 340-0936
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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